Individual provider Active NPI

Junfeng Wang, M.D.

  • Hematology & Oncology Physician
  • Mount Vernon, WA
National Provider Identifier
1154533412
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD60014822 Issued in WA
Practice address
307 S 13TH St Ste 100
Mount Vernon, WA 98274
Phone
(360) 814-2146
Fax
(360) 814-2445
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD60014822 WA Primary
Medical Oncology Physician 207RX0202X MD60014822 WA

Addresses

Primary practice location

307 S 13TH St Ste 100
Mount Vernon, WA 98274

Mailing address

307 S 13TH St Ste 100
Mount Vernon, WA 98274-4100
Phone (360) 814-9214

Other identifiers 1

IdentifierTypeStateIssuer
2013054MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000715 WA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1254509045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

307 S 13TH St
Suite 100
Mount Vernon, WA 98274-4100
Phone (360) 814-2146

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60014822WAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Aug 6, 2018 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Jul 31, 2018 Accepting new patients
Public Hospital Dist No 1 Skagit Medical Oncology CurrentSince Aug 6, 2018 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Jul 31, 2018 Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

3823 172nd St NE
Arlington, WA 98223
Phone (360) 618-5000

307 S 13th St
Mount Vernon, WA 98274
Phone (360) 336-9757

307 S 13th St
Ste 100
Mount Vernon, WA 98274
Phone (360) 424-2630

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

Interoperability endpoints

  • Direct secure messaging: jwang25020@skagit.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1154533412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 13TH ST STE 100",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744100",
            "telephone_number": "360-814-9214",
            "fax_number": "360-814-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 13TH ST STE 100",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "98274",
            "telephone_number": "360-814-2146",
            "fax_number": "360-814-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JUNFENG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD60014822",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD60014822",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2013054",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.